电针胃下合穴与合募配伍治疗胃轻瘫疗效对照观察  

Comparative study on effect of electroacupuncture at lower he-sea point of stomach and he-sea matching front-mu points for gastroparesis

作　　者：周岩 马慧卿 杨振杰[2] 邵慧婷 岳公雷[2] 杜广中[2] ZHOU Yan;MA Hui-qing;YANG Zhen-jie;SHAO Hui-ting;YUE Gong-lei;DU Guang-zhong(College of Acupuncture-Moxibustion and Tuina,Shandong University of TCM,Jinan 250014,China;Deparrtment of Acupuncture-Moxibustion and Tuina,Qilu Hospital of Shandong University,Jinan 250012)

机构地区：[1]山东中医药大学针灸推拿学院,济南250014 [2]山东大学齐鲁医院针灸推拿科,济南250012

出　　处：《中国针灸》2020年第9期925-927,932,共4页Chinese Acupuncture & Moxibustion

基　　金：山东省重点研发计划项目:2015GSF118143;国家重点基础研究发展计划(973计划)项目:2014CB543100。

摘　　要：目的:探究电针胃下合穴与合募配伍治疗胃轻瘫的疗效差异。方法:将63例胃轻瘫患者随机分为下合穴组(32例,脱落2例)和合募配伍组(31例,脱落1例)。下合穴组仅电针足三里,合募配伍组电针足三里、中脘,两组均选用连续波,频率2 Hz,留针30 min,每日1次,每周5次,连续治疗3周。比较两组患者治疗前后胃轻瘫主要症状指数(GCSI)量表总评分、胃半排空时间(T1/2)、180 min胃残留率及临床总有效率。结果:治疗后两组GCSI量表总评分、180 min胃残留率均较治疗前降低,T1/2均较治疗前缩短(P<0.01);治疗后下合穴组180 min胃残留率低于合募配伍组,T1/2短于合募配伍组(P<0.05)。下合穴组总有效率为93.3%(28/30),优于合募配伍组的70.0%(21/30,P<0.05)。结论:电针胃下合穴与合募配伍均可治疗胃轻瘫,但电针足三里疗效更佳,中脘与足三里配伍可能具有相互拮抗作用。Objective To explore the efficacy difference of electroacupuncture at lower he-sea point and he-sea matching front-mu points for the treatment of gastroparesis.Methods A total of 63 patients with gastroparesis were randomly divided into a lower he point group(group A,32 cases,2 cases dropped off)and a he matching mu points group(group B,31 cases,1 case dropped off).The group A was treated with electroacupuncture at Zusanli(ST 36),and the group B was treated with electroacupuncture at Zusanli(ST 36)and Zhongwan(CV 12).Both groups were treated with continuous wave(2 Hz in frequency)for 30 min,once a day,5 times a week for 3 weeks.The gastroparesis cardinal symptom index(GCSI)score,gastric half-emptying time(T1/2)and the 180 min gastric residual rate of the two groups before and after treatment were observed,and the clinical effective rate was compared.Results After treatment,the total GCSI scores,T1/2 and the 180 min gastric residual rates in both groups were lower than those before treatment(P<0.01),and the 180 min gastric residual rate and T1/2 in the group A were lower than those in the group B(P<0.05).The total effective rate was 93.3%(28/30)in the group A,which was superior to 70.0%(21/30)in the group B(P<0.05).Conclusion Electroacupuncture at lower he-sea point and he-sea matching front-mu points can both be used to treat gastroparesis,but electroacupuncture at Zusanli(ST 36)has a better effect.The acupoints of Zusanli(ST 36)and Zhongwan(CV 12)may have antagonistic effects.

关 键 词：胃轻瘫 电针 下合穴 合募配伍 穴 足三里 穴 中脘 

分 类 号：R246.1[医药卫生—针灸推拿学]